| NPI | 1003151986 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: WA LH60729180) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA mc60579598) |
| Enumeration Date | 2012-12-04 |
| Last Update Date | 2022-06-16 |